Provider Demographics
NPI:1457757023
Name:ZACHAREWICZ, KAREN (PT, DPT, NCS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ZACHAREWICZ
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 N HUMBOLDT ST STE 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1130
Mailing Address - Country:US
Mailing Address - Phone:303-861-0057
Mailing Address - Fax:
Practice Address - Street 1:1750 N HUMBOLDT ST STE 101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1130
Practice Address - Country:US
Practice Address - Phone:303-861-0057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO60572251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology